MAUDE MDR 245793

MDR report key
245793
Report number
1043534-1999-00098
Event key
0
Event type
3
Date of event
1999-09-14
Date received
1999-10-19
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
0
Initial report to FDA
0
Event location
0

Manufacturer Contact#

Contact
DEBBIE DAURER
Address
5677 AIRLINE RD ARLINGTON TN 38002 US
Phone
901-901-9018
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1DURAMER ADVANTIM POST. STAB. LSI TIBIAL INSERTKNEE COMPONENTWRIGHT MEDICAL TECHNOLOGY, INC.KRPNA1890-3212125A032182YNN

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
11999-10-190

Event Narratives#

No narrative records found.